2022 Anthem MediBlue Service (PPO)
Anthem MediBlue Service (PPO) H4909-023 is a 2022 Medicare Advantage Plan or Part-C by Anthem Blue Cross and Blue Shield available to residents in Kentucky. This plan does not provide additional prescription drug (Part-D) coverage. The Anthem MediBlue Service (PPO) has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay
$6,700 out-of-pocket. This can be a extremely nice safety net.
Anthem MediBlue Service (PPO) is a Local PPO *. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.
Anthem Blue Cross and Blue Shield works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Anthem MediBlue Service (PPO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Anthem Blue Cross and Blue Shield and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from Anthem Blue Cross and Blue Shield except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.
Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST
2022 Anthem Blue Cross and Blue Shield Medicare Advantage Plan Costs
| Name: | Anthem MediBlue Service (PPO) |
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| Plan ID: | H4909-023 |
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| Provider: | Anthem Blue Cross and Blue Shield |
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| Year: | 2022 |
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| Type: | Local PPO * |
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| Monthly Premium C+D: | $0 |
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| Part C Premium: | |
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| MOOP: | $6,700 |
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| Similar Plan: | H4909-024 |
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| New Plan: | 2023 H4909-024 |
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CMS Star Ratings for Anthem MediBlue Service (PPO) H4909
| 2021 Overall Rating | | |
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| Part C Summary Rating | | |
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| Part-D Summary Rating | | |
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| Staying Healthy: Screenings, Tests, Vaccines | | |
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| Managing Chronic (Long Term) Conditions | | |
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| Member Experience with Health Plan | | |
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| Complaints and Changes in Plans Performance | | |
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| Health Plan Customer Service | | |
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| Drug Plan Customer Service | | |
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| Complaints and Changes in the Drug Plan | | |
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| Member Experience with the Drug Plan | | |
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| Drug Safety and Accuracy of Drug Pricing | | |
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Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating | | |
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| Breast Cancer Screening | | |
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| Colorectal Cancer Screening | | |
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| Annual Flu Vaccine | | |
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| Monitoring Physical Activity | | |
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Managing Chronic And Long Term Care for Older Adults
| Total Rating | | |
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| SNP Care Management | | |
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| Medication Review | | |
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| Functional Status Assessment | | |
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| Osteoporosis Management | | |
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| Diabetes Care - Eye Exam | | |
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| Diabetes Care - Kidney Disease | | |
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| Diabetes Care - Blood Sugar | | |
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| Rheumatoid Arthritis | | |
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| Reducing Risk of Falling | | |
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| Improving Bladder Control | | |
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| Medication Reconciliation | | |
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| Statin Therapy | | |
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Member Experience with Health Plan
| Total Experience Rating | | |
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| Getting Needed Care | | |
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| Getting Appointments | | |
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| Customer Service | | |
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| Health Care Quality | | |
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| Rating of Health Plan | | |
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| Care Coordination | | |
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Member Complaints and Changes in Anthem MediBlue Service (PPO) Plans Performance
| Total Rating | | |
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| Complaints about Health Plan | | |
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| Members Leaving the Plan | | |
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| Health Plan Quality Improvement | | |
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Health Plan Customer Service Rating for Anthem MediBlue Service (PPO)
| Total Customer Service Rating | | |
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| Timely Decisions About Appeals | | |
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| Reviewing Appeals Decisions | | |
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| Call Center, TTY, Foreign Language | | |
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Anthem MediBlue Service (PPO) Drug Plan Customer Service Ratings
| Total Rating | | |
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| Call Center, TTY, Foreign Language | | |
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Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating | | |
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| Complaints about the Drug Plan | | |
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| Members Choosing to Leave the Plan | | |
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| Drug Plan Quality Improvement | | |
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Member Experience with the Drug Plan
| Total Rating | | |
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| Rating of Drug Plan | | |
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| Getting Needed Prescription Drugs | | |
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Drug Safety and Accuracy of Drug Pricing
| Total Rating | | |
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| MPF Price Accuracy | | |
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| Drug Adherence for Diabetes Medications | | |
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| Drug Adherence for Hypertension (RAS antagonists) | | |
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| Drug Adherence for Cholesterol (Statins) | | |
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| MTM Program Completion Rate for CMR | | |
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| Statin with Diabetes | | |
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Ready to Enroll?
Click Here |
Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST
Coverage Area for Anthem MediBlue Service (PPO)
(Click county to compare all available Advantage plans)
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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
